HomeMy WebLinkAbout10-10244 CITY OF ZEPHYRHILLS
5335 — 8TH STREET
(813)780 -0020 10244
BUILDING PERMIT
7._ :71
Permit Number: 10244 Address: 6843 STEPHENS PATH
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 03- 26 -21- 0160 - 00000 -0560
Improv. Cost: 4,995.00
Date Issued: 3/15/2010 Name: MEIKLE, DAVID G
Total Fees: 55.00 Address: 2135 LOWER DOWDA MILL RD
Amount Paid: 55.00 BALL GROUND GA 30107
Date Paid: 3/15/2010 Phone: (770)735 -3771
Work Desc: HEAT PUMP CHANGE OUT
BA - - • A A : • , 1 . • AN • -. 5
5 . 5.00
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s\ �U IN AL D
DUCTS INSULA D
FINAL ( —
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d) work not ready for
inspection when called e) permit not posted on job site f) plans not at job site g) work not accessible.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
T
CON ;• C
. edX CORE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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ii PROPANE GAS Service Orde
AND AIC 1N r/Proposal Ali
t�kee 7988 8 1 3- 782 -5013 um �. LASTS An um
Sales Service & Installations WORK ORDER # /SERVICEMAN 23296 MAR
4441 Allen Rd. • Zephyrhills, FL 33541 TAKEN BY TAKEN ASH H 04/ 01
AS 1 O:
DATE /TIME PROMISED 10
NOTES: CUSTOMER # /LOCATION 13510
08:00
01
PHONE# 1351Q1
8 13 - 788 -1261
ROUTE /SEQ MAR
MEIKLE, DAVID
6843 STEPHENS PATH MEIKLE, DAVID
6843 STEPHENS PATH
SILVER OAKS
ZEPHYRHILLS
FL 33542 ZEPHYRHILLS
FL33542
NEW UNIT INSTALL ' f? D I'-
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0181[.* k Prima /Condition t..1 Cleaned Secondary/Condition REFRIGERANT R- LBS
❑ C leaned
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T yp e 0 Replaced Type FILTERS
Changed Monthly I I
RECO�itIMENDATlON& I t
FILTERS x x Changed Monthly I I
M fntenadint.!nen db y A U E quipinent Manufacturers. 0 REGULAR 0 WARRANTY k
TO SUA+IMA
$ t�Dgs. When here `
146 I Away 65%,: T -Stat 0 0 MAINTENANCE CONTRACT F. ' � -
; When Awa
LIMITED WARRANTY: All mater als, parts and equipment are warranted by the manufacturers SERVICE
or suppliers' written warranty only. All labor performed by the above named company Is warranted for AAETHOD OF . PAYMENT CALL
30 days or as otherwise indicated in wnting The above named company makes no other warranties,
e press or implied, and its agents or technicians are not authorized to make any such warranties on 0 CASH ❑ CI( # TOTAL
behalf of above named company. MATERIALS
0 DEBIT Cl CREDIT 0 OTHER
I h o authority to order the work outlined above which has been satisfactorily completed I MAINTENANCE
retain title to equpmenVmaterials furnished until final sates tsat agreed
PROD. -10%
seller can remove said payment is made. If payment n not made as spread
not be the aquipmen NET 3 ials at Seller's expense. Any damage resunmg from ADDED removal 55011 DATE COMPLETED
sn
responsibility of Seller. NET 30 DAYS. A 1 1/2% SERVICE CHARGE WILL BE ADDED MONTHLY TO
ALL UNPAID BALANCES OVER 30 DAYS. NO REFUNDS
TECH: TAX 11.1 1 1 pE �
/STOMER SIGNATURE - n.a / �� 91257,s..:
nGTF {/ ! TP1Tw 1
813 -780 -0020 City of Zephyrhills Permit Application Fax - 813-780 -0021
Building Department
Date Received g .' / — 70
1 1 1 1 1 1 1 1 1 I 1 I I I I L L L V Phone Contact for Permitting
Owner's Name : t . ,J A /2/ : _r � i._ Z
Owner Phone Number g/3 - 788 y,t; J
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Owner's Address (9 8 7 S7"f,% CA-4-3 /4 7,4 Owner Phone Number
Fee Simple Titleholder Name / Owner Phone Number
Fee Simple Titleholder Address S Aim L
JOB ADDRESS 3 /• t L LOT #
SUBDIVISION .5 x y i / z 04 4 5 PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR I I ADD /ALT I 1 SIGN 1 I MOVE I 1 DEMOLISH
INSTALL REPAIR
PROPOSED USE 1 1 SFR 1 1 COMM 11 OTHER I
TYPE OF CONSTRUCTION 1 I BLOCK I I FRAME 1 1 STEEL 1 1 OTHER
DESCRIPTION OF WORK 1. /7` £it/ P / /L4.44./7 C C'L/7
BUILDING SIZE r SQ FOOTAGE HEIGHT
1 BUILDING $ VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL
r AMP SERVICE I I PROGRESS ENERGY I 1 W.R.E.C.
PLUMBING $ L ( ` / 2 90
Cer MECHANICAL $ p� VALUATION OF MECHANICAL INSTA LI 4.0___________"
GAS 1 1 ROOFING 1 1 SPECIALTY 1 1 OTHER
.............
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES 1 I NO
1
BUILDER COMPANY
SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N I
Address License #
ELECTRICIAN COMPANY
I
SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I
Address License #
PLUMBER COMPANY
SIGNATURE REGISTERED 1 Y / N 1 FEE CURRENT 1 Y/ N I
Address License #
MECHANICAL V COMPANY C3Ai ff� S / ".td ... (�/F'f 1
e i c
SIGNATURE A 4
REGISTERED 1 Y/ N FEE CURRENT 1 Y/
Address License # /)7C 6 y,2 9 !/8
OTHER COMPANY
SIGNATURE REGISTERED 1 Y/ N . 1 FEE CURRENT I Y/ N I
Address License # $
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -O -W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions /large projects
COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R -O -W Permit for new construction.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
* ** *PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (A/C upgrades over $5000)
** Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades A/C Fences (Plot/Survey /Footage)
Driveways -Not over Counter if on public roadways..needs ROW
i
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division — Licensing Section at 727 -847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT /UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees ancc Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expans'on of existing buildings, as specified in Pasco County Ordinance number 89 -07 and
90 -07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water /Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law— Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the "owner ", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the "owner" prior to commencement.
CONTRACTOR'S /OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a '.permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection - Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management District - Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers- Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services /Environmental Health Unit - Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency- Asbestos abatement.
Federal Aviation Authority- Runways.
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed' Flood Zone "V" unless expressly permitted.
If the fill material is to be used in Flood Zone "A ", it is understood that a drainage plan addressing a
"compensating volume "1 will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for Tots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air c gas, or other installations not specifically included in the application. A
permit issued shall be construed to ;be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTbRNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117. ) /
OWNER OR AGENT i CONTRACTOR
Subscri ed and sworn ticito 'rimed) o m is Subscribed and swo o ;if- 'irmed}befor e ••=
�?—1 by /a- - 4 7"" . _by as «1
Who is /are personaltylno_�Nrr me or has /have produced o is/ seer onally h me or has /have produced
..---- , - _ as identification. as identification.
to Public
' 4 / / , / u lic u� .Lt `N ry
Commission No. Commission No.
:, Commission DD 734406
9 :. q, • Notary = &&February 22, 2012
Name r L ES n I �� . Name of Nota 4 � „
, ., Commissron • 1 • ®OnIxIThN rIbYFNnMgMMw�/00
#j ';;, Expires February 22, 201'4
" .., � ; •• ' Sonata nw Troy Fein Ingram 100496'7°,9